WORK STUDY PLACEMENT FORM

 

In order to assign you a position that matches your experience, please take time to complete the entire form.  Should you have any questions, please call Laura Saville at 540-665-4533 or e-mail at lsaville@su.edu.

 

NAME__________________________________________________________DATE________________

 

ADDRESS____________________________________________________________________________

                                                                                                City                  State                Zip

E-MAIL ADDRESS ________________________________________

 

TELEPHONE #________________  CELL #_______________       RESIDENTIAL      COMMUTING  

 

STUDENT ID NUMBER___________________________   SSN_____________________________

 

YEAR (Fr., So., Jr., Sr.)____________         MAJOR__________________________________________

 

Returning Work-Study Students Only: If you wish to return to your previous work-study assignment with the stipulation that your supervisor requests you back, complete THIS SECTION ONLY.

What was your previous assignment?_______________________________________

Who was your supervisor?_____________________                     Department?______________________

New Students & Returning Students without Previous Work-Study Assignments: Please answer the following questions as completely as possible.

What skills or qualifications do you possess?_____________________________________________

____________________________________________________________________________________

 

Do you have any previous work experience or hobbies that will help us assign you a work-study position?____________________________________________________________________________

____________________________________________________________________________________

 

The following is a list of departments that work-study students can be assigned.  Please indicate which department(s) appeals to you.

 

Conservatory

 

Offices

 

Arts & Sciences

 

Student Center

 

  Other

 

Box Office

 

Financial Aid

 

Arts & Science Off.

 

Recreation Center

 

Athletics

 

 

Cons. Arts Mgmt.

 

Accounts Payable

 

Education

 

Snack Bar

 

Bulk Mail

 

 

Costume Shop

 

Admin./Finance

 

English

 

Student Activities

 

Chapel

 

 

Dance Department

 

Admissions Office

 

Environ. Studies

 

Campus Mail

 

Library

 

 

Instrumental Dept.

 

Auxiliary Services

 

History

 

 

 

Grounds

 

 

Music Department

 

Business Office

 

Foreign Languages

 

 

 

Career Services

 

 

Set Construction

 

Business School

 

Kinesiology

 

 

 

Public Relations

 

 

Vocal Department

 

Research/Planning

 

Mass Comm.

 

 

 

Public Safety

 

 

Concert Setup

 

Payroll/Personnel

 

Natural Sciences

 

 

 

Wellness Center

 

 

 

 

Physical Plant Office

 

Radio Station

 

 

 

ESL Tutoring

 

 

 

 

Registrar’s Office

 

TV Station

 

 

 

Computer Center

 

 

 

 

Student Accounts

 

Biology

 

 

 

Media Center

 

 

 

 

Student Affairs

 

Chemistry

 

 

 

Writing Center

 

 

 

 

Marsh Institute

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

***Job descriptions available upon request for all positions***

 

Do you have transportation, and are you willing to work off campus at one of the following locations?  (may be paid at a higher rate to offset mileage)

 

____Winchester Medical Campus in Winchester (Nursing, Pharmacy, Respiratory Care, Physician Assistant, Library)

____Cork Street Campus in Winchester (Occupational and Physical Therapy)

____Bowman Building in downtown Winchester (Development and Alumni Offices)

____Shenandoah University Childcare Center on Rt. 7 in Winchester

____Leesburg Campus in Leesburg, VA

____Fairfax-Cameron Building in downtown Winchester (Continuing Education, History and Tourism Center, Public Relations)

____ John Kerr Building in downtown Winchester (Shenandoah Conservatory Arts Academy)

 

Return this form with your signed award letter to Financial Aid Office.